Ilovebenefits’s Blog

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SFC Amendment Proceedings 10/1

Editor’s note: Draw your own conclusions. Note Crapo F1, Bunning F3, Cornyn F5 (small business), Grassley/Snowe C11, Bunning F1, Kyl C17, Wyden D17 (it won’t survive other cuts), Schumer/Snowe,


Kyl C17 makes tremendous sense. Since no one knows when they will have significant, fiscally threatening health costs allowing people to create an HSA account with the full value of their out of pocket maximum will help to reduce medical bankruptcy.

Crapo F1: No tax, fee, or penalty shall be applied to individuals earning less than $200,000 or couples earning less than $250,000 per year.  Failed, 11-12.

Ensign F2:  Penalty for not having health insurance shall not apply to individuals earning less than $200,000 or couples earning less than $250,000 per year.  Failed, 11-12.

Snowe/Lincoln/Bingaman:  Increases funding for Community Health Centers, counts charitable contributions of AIDS medications to Medicare beneficiaries’ true-out-of-pocket spending, allows small employers with seasonal employers to qualify for small business tax credits, and permits the purchase of indemnity plans through the exchange.  Accepted.

Hatch F6:  Establishes expedited judicial review for constitutional challenges to the Act.  Failed, 7-9

Bunning F2:  Sunsets tax increases in the bill that would either invade privacy of workers or have the economic impact of increasing out of pocket health care costs for all Americans.  Failed, 9-14. 

Bunning F3:  Retains current law with respect to the deductibility of medical expenses above 7.5% of AGI for chronically ill and people with disabilities (Chairman’s mark raises this to 10%).  Failed, 9-14.

Cornyn F5:  Requires Treasury Secretary to certify, prior to implementation, that the bill will not impose additional costs on businesses with less than 500 employees.  Failed, 10-13.

Ensign F6:  Changes index for the bill’s proposed excise tax on high cost insurance plans to medical inflation as opposed to CPI-U.  Failed, 11-12.

Cantwell C15:  Establishes a basic health plan for individuals under 200 percent of poverty modeled after Washington State plan.  States can decide whether to opt in.  Accepted, 12-11.
Schumer C3:  Hardship waiver for individuals who cannot find a plan that is less than 8 percent of their income.  Set aside.

Kyl F3:  Strike the $40 billion fee on medical device manufacturers.  Set aside.

Kyl F4:  Strike $6.7 billion fee on health insurers.  Failed, 9-14.

Grassley-Snowe C11:  Beginning in 2011, states running a deficit and providing Medicaid coverage to individuals over 133 percent of poverty may drop these individuals from their rolls.  Accepted.

Rockefeller C9:  Requires insurers to demonstrate to the Secretary of HHS a medical loss ratio of 85 percent.  Withdrawn.

Kyl F6:  Eliminate proposed $2500 cap on FSA contributions.  Failed, 10-13

Bunning F1:  All tax increases in the bill will sunset in 2019.  Failed, 9-13.

Kyl C17:  Allow individuals to make tax deductible contributions to HSAs equal to limits on out of pocket spending.  Failed, 10-12.

Lincoln D11:  Overturn CMS 2010 physician fee schedule as it pertains to the application of the equipment utilization policy to radiation therapy.  Withdrawn.

Kyl C14:  Tax subsidy will only be available to legal immigrants who has been in the country for five years. Failed, 10-13.

Lincoln F1:  Limits compensation for health insurance executives.  Accepted, 14-8 (1 pass)

Grassley C11:  Starting in 2012, the Director of the Office of Management and Budget must certify whether federal health reform will add to the deficit in the coming year.  If it does, it will be added to the President’s budget, Congress will be notified, and tax subsidies will be reduced accordingly.  Accepted.

Wyden D17:  Increase payments by 1 percent to Medicare Advantage plans that receive high quality ratings.  Amendment is budget neutral.  Accepted. 

Kerry C10:  Changes indexing to effectively increase subsidies for individuals with incomes below 400 percent of poverty.  Withdrawn.

Kerry C8:  Allows state exchanges to negotiate with plans for lower bids, encourage plans to form restrictive networks, exclude plans that do not offer good value, etc.  Withdrawn. 

Rockefeller C1:  To apply insurance market reforms in the bill to self-insured plans.  WIthdrawn with assurances from Chairman to work together on it. 

Bingaman C1:  Set aside previously.  Established coordinated system of eligibility determination for SCHIP, Medicaid and tax subsidies.  Laid aside again. 

Rockefeller C 14/C15:  Eliminates requirement in the mark that states must enroll newly eligible childless adults in private plans, as well as requirement that people eligible for Medicaid enroll in an employer-sponsored plan if one is available to them.  Amendment would also eliminate choice under the mark for people between 100% and 133% of poverty to enroll in a private plan — they must enroll in Medicaid.  Set aside. Later accepted 13-9.

Schumer/Snowe:  Reduces affordability waiver from the individual mandate from 10 percent to 8 percent of AGI (individuals who must spend more than 8% of their AGI to purchase a plan through the exchange would be exempt from personal responsibility requirement).  Reduces tax penalty on the uninsured and and remove criminal penalties for those who fail to pay it.  Accepted, 22-1.

Wyden D10:  Personalized Medicine and Access to Critical Lab Tests Act.  Accepted.

Kyl F3:  Set aside previously.  To strike excise tax on medical device manufacturers.  Failed, 10-13.  

Rockefeller F-1 (modified): Modifies the Medicare Commission, makes changes to streamlining provisions of the Bingaman amendment, raises the thresholds for the tax on generous health coverage for early retirees and people in high risk professions (to $9850 for an individual and $26,000 for a family), provides an allocated tax credit for biotech. Amendment agreed to, 13-10.

Wyden C-1 – Employers offering coverage to their workers would have two options: 1) give their employees the choice of two health coverage options; or 2) give their employees vouchers that they could use to join their employer’s plan or to buy coverage through the exchange. Withdrawn.

Ensign F-1 (modified) – Uses unspent money in the “health improvement fund” discussed above to increase the $2500 FSA ceiling established in the Chairman’s mark. Failed, 11-12


October 2, 2009 - Posted by | Federal Government, healthcare | ,

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